Urticaria pigmentosa masquerading as non-accidental injury

Management includes avoidance of triggers and antihistamines. 1 In addition to urticaria pigmentosa, there are many skin conditions that may mimic the bruising of child abuse including disorders of coagulation, Valsalva petechiae, vasculitis, acute haemorrhagic oedema, incontinentia pigmenti, phytop...

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Bibliographic Details
Published inArchives of disease in childhood Vol. 100; no. 9; p. 850
Main Authors Ramphul, Neelmanee, Harikrishnan, Sushama, Harikumar, Chidambara, Carmichael, Andrew J
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group LTD 01.09.2015
Subjects
Child Abuse
Child abuse & neglect
Child Abuse - diagnosis
Child, Preschool
Contusions - diagnosis
Diagnosis, Differential
Female
Humans
Parents
Urticaria Pigmentosa - complications
Urticaria Pigmentosa - diagnosis
Dermatology
Child Abuse
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Summary:Management includes avoidance of triggers and antihistamines. 1 In addition to urticaria pigmentosa, there are many skin conditions that may mimic the bruising of child abuse including disorders of coagulation, Valsalva petechiae, vasculitis, acute haemorrhagic oedema, incontinentia pigmenti, phytophotodermatitis, coin rubbing, spooning, cupping, Mongolian spots, morphoea, neuroblastoma and ink stains, some of which may be unfamiliar to paediatricians. 2 It is crucial to differentiate cutaneous mimics of bruising arising from abuse, by liaising with dermatologists, to prevent potentially devastating social consequences for the child and family.
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ISSN:0003-9888
1468-2044
DOI:10.1136/archdischild-2014-307915